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DIFFERENTIAL DIAGNOSIS OF COMMON GYNECOLOGICAL COMPLAINTS Part 03

DIFFERENTIAL DIAGNOSIS OF COMMON GYNECOLOGICAL COMPLAINTS



Abnormal Uterine Bleeding

Gynecological Causes

Increased bleeding with menses
  1. polyps
  2. adenomyosis
  3. leiomyomata
  4. endometriosis
  5. IUD

Bleeding following a missed period
  1. ectopic pregnancy
  2. abortion - missed, threatened, inevitable, incomplete, or complete
  3. implantation bleed
  4. trophoblastic disease
  5. placental polyp

Irregular bleeding
  1. dysfunctional uterine bleeding
  2. polycystic ovarian disease
  3. vulvovaginitis
  4. PID
  5. benign or malignant tumours of vulva, vagina, cervix, or uterus
  6. ovarian malignancy
  7. anovulation (e.g. stress amenorrhea)
  8. oral contraceptive use
  9. polyps

Postmenopausal bleeding
  1. endometrial ca until proven otherwise
  2. atrophic vaginitis (most common cause)
  3. ovarian malignancy
  4. benign or malignant tumours of vulva, vagina or cervix
  5. withdrawal from exogenous estrogens
  6. atrophic endometrium
  7. endometrial/endocervical polyps
  8. endometrial hyperplasia
  9. trauma
  10. polyps
  11. lichen sclerosis

Non-Gynecological Causes

  1. thyroid disease (hyper-/hypo- thyroid)
  2. chronic liver disease
  3. von Willebrand disease l
  4. eukemia
  5. idiopathic thrombocytopenic purpura
  6. hypersplenism
  7. rectal or urethral bleeding
  8. renal failure
  9. adrenal insufficiency and excess
  10. drugs: spironolactone, danazol, psychotropic agents
  11. metastatic cancer
DIFFERENTIAL DIAGNOSIS OF COMMON GYNECOLOGICAL COMPLAINTS Part 03 DIFFERENTIAL DIAGNOSIS OF COMMON GYNECOLOGICAL COMPLAINTS Part 03 Reviewed by Radiology Madeeasy on August 21, 2010 Rating: 5
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